NPIMap

Organization Active NPI

Elevate Family Chiropractic LLC

Doing business as MaxLiving Chiropractic 0168

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1295431302
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATE FAMILY CHIROPRACTIC LLC
Doing business as
MaxLiving Chiropractic 0168
Practice address
5150 Northland Dr NE Ste B
Grand Rapids, MI 49525-1081
Phone
(616) 314-7616
NPI assigned
Feb 1, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alicia Ashton-Mayer, DCNPI 1578269676
Title
Ao/Provider/Owner
Phone
(734) 776-2026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

5150 Northland Dr NE Ste B
Grand Rapids, MI 49525-1081

Mailing address

5150 Northland Dr NE Ste B
Grand Rapids, MI 49525-1081
Phone (616) 314-7616

Other names 1

  • MaxLiving Chiropractic 0168 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622003507 MI Part B Supplier - Clinic/Group Practice 3173981131 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

5150 Northland Dr NE
Ste B
Grand Rapids, MI 49525
Phone (616) 314-7616

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1295431302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NORTHLAND DR NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251081",
            "telephone_number": "616-314-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 NORTHLAND DR NE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251081",
            "telephone_number": "616-314-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-04-25",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "ASHTON-MAYER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "AO/PROVIDER/OWNER",
        "authorized_official_telephone_number": "734-776-2026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxLiving Chiropractic 0168",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaxLiving Chiropractic 0168",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.